Posttraumatic Stress Disorder, Military Sexual Trauma, and Birth Experiences at the Veterans Health Administration

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Katherine Musacchio Schafer PhD , Kate F. Wallace MPH , Aimee Kroll-Desrosiers PhD , Kristin Mattocks PhD, MPH
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引用次数: 0

Abstract

Background

Women are a growing portion of the U.S. veteran population, and every year the Veterans Health Administration (VHA) serves an increasing number of women seeking obstetrics services. Women veterans experience elevated rates of anxiety, depression, posttraumatic stress disorder (PTSD), and traumatic events, including military sexual trauma, as compared with women in the general population. It is possible that mental health disorders may be associated with birth experiences.

Objectives

We investigated the link between anxiety, depression, PTSD, and military sexual trauma (MST; i.e., rape and sexual harassment) with perceived birth experience (i.e., Negative or Neutral vs. Positive).

Methods

Participants included 1,005 veterans who had recently given birth and were enrolled in the multisite, mixed methods study known as the Center for Maternal and Infant Outcomes Research in Translation study (COMFORT). Using χ2 tests, we investigated the relationship between mental health conditions including anxiety, depression, and PTSD and MST with birth experience (coded as Negative/Neutral vs. Positive).

Results

Findings indicated that participants who endorsed PTSD (39.5%), MST-rape (32.1%), or MST-harassment (51.4%; all p < .05) were significantly more likely to report a Negative/Neutral birth experience (14.7%) versus a Positive birth experience (85.3%). Anxiety and depression were not associated with birth experience.

Conclusions

Veterans with PTSD and/or who experienced MST were more likely to report a negative or neutral birth experience. Thus, screening for PTSD and MST during obstetrics services as well as providing trauma-informed obstetrics care during pregnancy, labor, birth, and recovery may be important among veterans seeking obstetric services.

创伤后应激障碍、军队性创伤和在退伍军人事务部的分娩经历。
背景:女性在美国退伍军人中的比例越来越大,退伍军人健康管理局(VHA)每年为越来越多的女性提供产科服务。与普通女性相比,女性退伍军人患焦虑症、抑郁症、创伤后应激障碍(PTSD)和创伤事件(包括军队性创伤)的比例较高。精神疾病可能与分娩经历有关:我们调查了焦虑、抑郁、创伤后应激障碍和军事性创伤(MST,即强奸和性骚扰)与所感知的生育经历(即消极或中性与积极)之间的联系:参与者包括 1,005 名最近分娩过的退伍军人,他们都参加了名为 "母婴结果转化研究中心"(COMFORT)的多站点混合方法研究。我们使用 χ2 检验法调查了焦虑、抑郁、创伤后应激障碍等精神健康状况与生育经历(编码为消极/中性与积极)之间的关系:研究结果表明,患有创伤后应激障碍(39.5%)、MST-强奸(32.1%)或 MST-骚扰(51.4%;均为 p 结论:患有创伤后应激障碍和/或 MST-强奸的退伍军人与 MST-骚扰之间存在一定的联系:患有创伤后应激障碍和/或经历过性暴力和性侵犯的退伍军人更有可能报告负面或中性的生育经历。因此,在产科服务期间筛查创伤后应激障碍和创伤后精神创伤,以及在怀孕、分娩、生产和恢复期间提供创伤知情的产科护理,对于寻求产科服务的退伍军人来说可能非常重要。
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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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